等离子射频治疗阻塞性睡眠呼吸暂停低通气综合征疗效分析

目的：探讨等离子射频消融术治疗阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome, OSAHS)的疗效。方法：采用等离子射频消融术治疗OSAHS患者38例，并回顾分析其临床资料及疗效。结果：手术时间为8～15min，术中平均出血2～5ml；术后6个月显效56%，有效41%，无效3%，总有效率97%；术后12个月显效53%，有效38%，无效9%，总有效率91%；术前与术后6个月、12个月的最长呼吸暂停时间、最长低通气时间、AHI、SaO2差异有统计学意义（P＜0.05）；术后6个月、12个月的最长呼吸暂停时间、最长低通气时间等差异无统计学意义。结论：等离子射频消融术由于操作简便、安全性高，是重度OSAHS患者补充治疗的主要有效方法。

Plasma radio-frequency ablation in treatment of obstructive sleep apnea hypopnea syndrome

Objective： To investigate the clinical effect of plasma radio-frequency in treatment of obstructive sleep apnea hypopnea syndrome(OSAHS). Method: Thirty-eight cases of OSAHS were treated by plasma radio-frequency ablation and the clinical data of these cases were also retrospectively analyzed. Results：The operation time was 8-15min, hemorrhage was 2-15ml. At post-operative 6 months, 56% cases had an effect, 41% had an improvement, and 3% had no effect, and the total effective rate was 97%. At post-operative 12 months, 53% had an effect, 38% had an improvement, and 9% had no effect, and the total effective rate was 91%. The longest time of apnea, the longest time of hypopnea, the lowest SaO2 and apnea-hypopnea index were statistically significant before and after operation, but there was not a significantly different between post-operative 6 and 12 months. Conclusion： Plasma radio-frequency ablation is convenient, simple and safe for obstructive sleep apnea hypopnea syndrome.